Objective

To review evidence-based strategies that have been noted to improve professional fulfillment and reduce burnout by enhancing practice efficiency.

Data Sources

A comprehensive literature review was conducted to evaluate the strategies to improve efficiency of practice—a key driver of burnout among physicians.

Study Selections

Studies of efficiency-enhancing practices relevant to allergy-immunology were included.

Results

Professional burnout is prevalent among physicians and is associated with negative outcomes affecting physicians, patients, and health care organizations. Recent surveys suggest at least 35% of US allergists-immunologists experience burnout. There are multiple drivers of professional burnout, some at the individual level and others at the organizational or practice level. Strategies to improve professional fulfillment may be conceptualized using the Stanford physician wellness framework, in which efforts target the following 3 reciprocal domains: culture, personal resilience, and practice efficiency. Organizational strategies that support physician well-being by creating a more efficient practice environment hold great promise, particularly for allergists-immunologists. The reduction of administrative burden and fostering of team-based care have been found in multiple studies to be cost-effective strategies to improve physician and patient satisfaction.

Conclusion

To ensure the well-being of the US allergy-immunology workforce and optimize patient outcomes, both private and academic allergy-immunology institutions should prioritize the adoption and iterative evaluation and refinement of these strategies to cocreate an efficient and ideal practice environment.

中文翻译：

---

提高练习效率

客观的

审查已注意到的基于证据的策略，这些策略可通过提高练习效率来提高职业素养并减少倦怠。

数据源

进行了全面的文献综述，以评估提高执业效率的策略，这是医生倦怠的关键驱动力。

研究选择

研究涉及与变态反应-免疫学有关的提高效率的实践。

结果

职业倦怠在医生中普遍存在，并与影响医生，患者和医疗机构的负面结果相关。最近的调查表明，至少35％的美国过敏症免疫专家经历了倦怠。职业倦怠有多种驱动力，有些是个人的，有些是组织或实践的。可以使用斯坦福医师健康框架来概念化提高专业素养的策略，其中的工作针对以下三个互惠领域：文化，个人韧性和实践效率。通过创建更有效的实践环境来支持医师福祉的组织策略具有广阔的前景，特别是对于过敏症免疫学家而言。

结论

为确保美国过敏免疫工作人员的健康并优化患者结果，私人和学术机构的过敏免疫机构均应优先采用，反复评估和完善这些策略，以共同创造一个高效理想的实践环境。